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Staff Recommendation


    Staff Recommendation Form

    You have been selected to be a reference for an individual applying for a position at Camp Cotubic. It is our desire to hire staff who help create an atmosphere where friends unite, fun excites, and youth meet Christ. Serious consideration will be given to your reference; there-fore we ask that you complete this form honestly to your best knowledge of the applicant. Your opinions and feedback are strictly confidential. Please return this form directly to Camp Cotubic by mail, fax, or email. If you have any questions or concerns, please contact Program Director Jason Kimmel via email ( or by phone at (937) 369-7420.

  • Recommender Information

  • Relationship

  • Does the applicant have any known history of:

  • Please rate the applicant in the following areas:

  • Please rate the presence of the following in the applicant:

  • Thank you for sharing your input regarding this applicant. By signing or typing your name on the line below, you certify that the information listed on this recommendation is true to the best of your knowledge.

  • Clear Signature

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